14379 (PAT)o z"
V TA
44
P.O. BOX 1504
No. 14379
'
78 495 CALLS TAMPICO
BulldltiMg 78-19.70 Sanity Drive
Address LA gUINTA, CALIFORNIA 92253
Owner Maik sarto
Mailing BUILDING: TYPE CONST. :OCC. GRP.
Address Sate
A.P. Number
City` Zip ---]Tel.
-LA" Quinta, C' 92253 Legal Description
Contractor
'Lattice Pato Cover,
Lw3' a Builder Project Description
erir�.a��
City lZip Tel.:
State Lic.I City
& Classif. Lic. #
Arcn., tngr.,
Designer
Address Tel.
City ZipState
Lic. #
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm that I am licensed under provisions of Chapter 9 (commencing with Section
7000) of Division 3 of the Business and Professions Code, and my license is in full force and
effect. -
SIGNATURE DATE
OWNER -BUILDER DECLARATION
I hereby affirm that I am exempt'from the Contractor's License Law for the following
reason: (Sec. 7031.5;Business and Professions Code: Any. city or county which .requires a
permit to construct, alter, improve, demolish, or repair any .structure; prior to its issuance also
requires the applicant for such permit to rile a signed statement that he is licensed pursuant to
the provisions of the Contractor's License Law, Chapter 9, (commencing with Section 7000) of
Division 3 of the Business and Professions Code, or that. he is exempt therefrom, and. the basis
for the alleged exemption. Any violation of Section 7031.5 by 'any applicant for a permit
subjectst e•applicant to a civil penalty of not more than rive hundred dollars ($500).
I�,1 I¢as owner of the property, or, my employees with wages as their sole compensation, will
do the work, and the structure is not intended or offered for sale. (Sec. 7044, Suisness and
Professions. Code: The Contractor's- License Law does not. apply to an owner of property who
builds or improves thereon and who does such work himself or through his own employees,
provided that such improvements are not intended or offered for sale. If, however, the building
or improvement is sold within one year of completion, the owner -builder will have the burden
of proving that he did not build or 6nprove for the purpose of sale.)
❑ I, as owner of the property, am exclusively contracting with licensed contractors to con-
struct the project. (Sec. 7044, Business and .Professions Code: The Contractor's License -Law
does not apply to an, owner of property who builds or improves thereon, and who contracts for
such projects with a contractor(s) (kensed pursuant to the Contractor's License Law.)
O 1 am exempt under Sec. B. A P.C. fortbis reason
mate. rR 9 Owner `✓��
WORKERS' COMPENSATION DECLARATION
I hereby affirm that I have a certificate of consent to self -insure, or a certificate of
Worker's Compensation Insurance, or a certified copy thereof. (Sec. 3800, Labor Code.)
Policy No. Company
- 0 Copy is filedwith the city. O Certified copy is hereby furnished.
CERTIFICATE OF EXEMPTION FROM
WORKERS' COMPENSATION INSURANCE
(This section need not be completed If the permit is for one hundred dollars ($100) valuation
' or less.) '
I certify that in the performance of thg work for%whit this permit �'� suallnot
employ any pparson in any manner so asst becofne sup ec t .Workers' Compensation
Laws Qt California -
D e y IT _Eyl l Owner �
TICS TO APPLICANT: ff. aRe making this Certificate of Exemption you should become
sub/ect to the Workers' Compensation provisions of -the Labor Code, you must forthwith
comply with such provisions or
this permit shall be deemed revoked. -
WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE -IS UNLAWFUL,AND
SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE
HUNDRED THOUSAND DOLLARS ($100,0(10), IN ADDITION TO THE COST OF COMPENSATION,
DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND
ATTORNEY'S FEES.
This is a building permit when properly filled out, signed and validated, and is subject to
expiration it work thereunder is suspended for 180.days.
I certify that I have read this application and state that the above information is correct.
I agree to comply with all city and county ordinances and state laws relating to building
construction, and hereby authorize representatives -of this city to enter the above-.
mentioned property for inspection purposes.
Signature of applicant Dale
Mailing Address
City, State, Zip
ZONE: BY:
Minimum Setback Distances:
Front Setback from Center Line
Rear Setback from Rear Prop. Line
Side Street Setback from Center Line
Side Setback from Property Line
FINAL DATE INSPECTOR
Issued by: Date
Validated by:
Validation:
Sq. Ft. 697
Size
No. No. Dw.
Stories Units
New ❑ Add ❑
Alter ❑ Repair ❑ Demolition ❑.
Estimated Valuation
$9,270.00
PERMIT
AMOUNT
Plan Chk. Dep.
Plan Chk. Bal.
76.05
Const.
117. OW
Mech.
Electrical
Plumbing
S.M.I.
Grading
Driveway Eric.
Infrastructure
TOTAL
194.05
REMARKS
ZONE: BY:
Minimum Setback Distances:
Front Setback from Center Line
Rear Setback from Rear Prop. Line
Side Street Setback from Center Line
Side Setback from Property Line
FINAL DATE INSPECTOR
Issued by: Date
Validated by:
Validation:
CONSTRUCTION ESTIMATE
NO. ELECTRICAL FEES
NO. PLUMBINU FEES
1ST FL. SO. FT. ® $
UNITS
SLAB GRADE
2ND FL. • -^ SO. FT.
BONDING
YARD SPKLR SYSTEM
~U
STORAGE TANK
MOBILEHOME SVC.
BAR SINK
POR. SO. FT. ®
DUCT WORK
ROCK STORAGE
GAR. SO. FT. ®
POWER OUTLET
ROOF DRAINS
HEATING (FINAL)
OTHER APPJEOUIP.
DRAINAGE PIPING
CAR P. SO. FT. ®
TEMP. POLE
WALL SO. FT.
GROUT
DRINKING FOUNTAIN.
SO. FT. ®
FINAL INSP.
URINAL
ESTIMATED CONSTRUCTION VALUATION $
WATER SYSTEM
WATER PIPING
NOTE: Not to be used as property tax valuation
_$
FLOOR DRAIN
MECHANICAL FEES
FINAL INSP.
WATER SOFTENER
VENT SYSTEM FAN EVAP.COOL HOOD
SIGN
WASH ER(AUTO)(DISH)
APPLIANCE DRYER
GARBAGE DISPOSAL
FURNACE UNIT WALL FLOOR SUSPENDED
LAUNDRYTRAY
AIR HANDLING UNIT CFM
KITCHEN SINK
ABSORPTION SYSTEM B.T.U.
TEMP USE PERMIT SVC
WATER CLOSET'
COMPRESSOR HP
POLE, TEM/PERM
LAVATORY
HEATING SYSTEM FORCED GRAVITY
AMPERES SERV ENT
SHOWER
BOILER B.T.U.
SO. FT. ® c
BATH TUB
GAR. FIREWALL
SO. FT. ® c
WATER HEATER
MAX. HEATER OUTPUT, B.T.U.
SO. FT. RESID ® 11/4 c
SEWAGE DISPOSAL
MESH
SO.FT.GAR ® 3/ac
HOUSE SEWER
INSULATION/SOUND
GAS PIPING
PERMIT FEE
FINISH GRADING
PERMIT FEE
PERMIT FEE
DBL
TOTAL FEES
MICRO FEE
MECH.FEE PL.CK.FEE
CONST. FEE ELECT. FEE
SMI FEE PLUMB. FEE
STRUCTURE PLUMBING ELECTRICAL HEATING 8 AIR COND. SOLAR
SETBACK
GROUND PLUMBING
UNDERGROUND
A.C. UNIT
COLL. AREA
SLAB GRADE
ROUGH PLUM&.
BONDING
HEATING (ROUGH)
STORAGE TANK
FORMS
SEWER OR SEPTIC TANK
ROUGH WIRING
DUCT WORK
ROCK STORAGE
FOUND. REINF.
GAS (ROUGH)
METER LOOP
HEATING (FINAL)
OTHER APPJEOUIP.
REINF. STEEL
GAS (FINAL)
TEMP. POLE
GROUT
WATER HEATER
SERVICE
FINAL INSP.
BOND BEAM
WATER SYSTEM
GRADING
cu. yd.
$ plus x$
_$
LUMBER GR.
FINAL INSP.
FRAMING
FINAL INSP.
ROOFING
REMARKS:
VENTILATION
FIRE ZONE ROOFING '
FIREPLACE
SPARK ARRESTOR
GAR. FIREWALL
LATHING
MESH
INSULATION/SOUND
FINISH GRADING
FINAL INSPECTION '
CERT. OCC.
FENCE FINAL
INSPECTOR'S SIGNATURESIINITIALS
GARDEN WALL FINAL
a
softer Site 6 Special q
3 CV
Soot Pitch
t: t t —60 —
Coetlauous Ledger
Site
Liter Spee
--
1i 04)
to &nc-re
-I May.
See hoofing Mote &*len
- Specify so•fina 4 SAeetAiwa at qeo Lattice
/' -1
RSR.
Y Bad dagle Stew /
4':9'31-21W with J
4-15 d Balls at bolt
post spacing - lD - —
Overall Iet:gtA
2000 o.s.i. Qa�tsJ 1
kin. 1Ta12"
/ootia= 12"
�'/S"sS' 18'9\1crees fate stwts at Ig' e.e. klw Grade
Costiouoas Ledger
Provide I
learanc
ost To
. 4794" pasts
L.1
r
0 -strep er
Angle
Mon-eerrwii�_
plate
Joist pssger or solid sloctiBg Concrete
Mail Liter to 11odUna
ALL CCIRF IQ: 4 - 16 d Bells or belt
9,7,:1 C27w- 7D
W -r tsig9ll4 BU=DC tubed Ambers y" to emc. —
CEDE
96
I01TIE7t SPAN Z718:F
Qadi a..i..
(feec0-70
s iaNee) 1 rQ1 '► '!
Fks' F;s Fso �� f
2x4
16' c.c.
24' •
11-2
9-6
1"
8-8
7-11
6-5
6-36-4
6-95-2
2xd
12" c. c.
113-3
11-10
17-5
13-0
13-710.0
16' '
16-3
15-1
1-3
U -91H
24- a
12-4
9-2
94
7-1
32' "
10-30
9-2117-6
7-6
S -t
ZA .
16' O.C.
21-5
19-1014-10
15-6
U-6
- '
17-6
16-3
12-1
12-1
!-4
t32`-
14-5
134
10-0
10-2
7-6
(0250 143 (c12,07, !�
4 4KVQ�rw
ir
• ' • '•sN� Crate •,•�
IlorADM
dmglm fir LC.1
aim apart SLK • SPIN+
4A ....... S' y•Y ♦I -
� Aocl,oi
bolts
4X10. — —14'. .-c
lilt - ....17' y!12 IV
444 .......20' y ► ,y 1-1
4 b%6 r2
b t is )'r'
Dmfirq Mete
a• turd shakes 4/12 pitch 13/12 Saiz. pitch r:th 301
felt trde-lay) Class A
b- Rod. ctr.-rait-iar.:`_-;les 4/12 pitch 13/12
pitch v.th 151 felt trdr-lay)- Class A
e. Dint up rolled roof siege to dra_..
d. Ibck roof 3/12 max_�r+ etch.
TYPICAL PATiG CaG7ER
V